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Tobacco
Kinds of Tobacco Terms modified by Tobacco Selected AbstractsTHE DETERMINANTS OF LAWS RESTRICTING YOUTH ACCESS TO TOBACCOCONTEMPORARY ECONOMIC POLICY, Issue 1 2009CRAIG A. GALLET Since many smokers begin consuming tobacco products in their adolescent years, many states have adopted a variety of restrictions on youth access to tobacco, which studies show reduces the demand for tobacco among this cohort. This paper takes a different track by addressing the demand for youth access restrictions. Specifically, using a random effects Probit procedure, which controls for the endogeneity of cigarette consumption and taxation, we examine the determinants of nine methods commonly used by states to restrict youth access to tobacco. (JEL H70, I18) [source] BEARING WITNESS: TOBACCO, PUBLIC HEALTH AND HISTORY THE CIGARETTE CENTURY: THE RISE, FALL AND DEADLY PERSISTENCE OF THE PRODUCT THAT DEFINED AMERICA.ADDICTION, Issue 7 20092000., Edited by A.M. Brandt MARKETING HEALTH: SMOKING AND THE DISCOURSE OF PUBLIC HEALTH IN BRITAIN First page of article [source] ILLICIT TOBACCO: AN INTERNATIONAL PROBLEM WITH AN INTERNATIONAL SOLUTIONADDICTION, Issue 1 2009DEBORAH ARNOTT No abstract is available for this article. [source] Tobacco is Going, Going , But Where?CULTURE, AGRICULTURE, FOOD & ENVIRONMENT, Issue 2 2009Donald D. Stull Abstract Tobacco is America's most vilified agricultural product. It is also the eighth most valuable crop in the United States, and its immense economic value and historic depth made it an agricultural cornerstone and a cultural focus in the Upper South. The federal tobacco program limited production and ensured a fair price to growers, helping many small family farms survive at no net cost to the American taxpayer. Kentucky ranks second in tobacco production and is the most tobacco-dependent state. This paper examines what has happened to tobacco farmers in western Kentucky since the federal tobacco program was terminated in 2004 and its broader implications. [source] Current Awareness in Drug Testing and AnalysisDRUG TESTING AND ANALYSIS, Issue 4 2010Article first published online: 1 APR 2010 In order to keep subscribers up-to-date with the latest developments in their field, John Wiley & Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of drug testing and analysis. Each bibliography is divided into 18 sections: 1 Reviews; 2 Sports doping - General; 3 Steroids; 4 Peptides; 5 Diuretics; 6 CNS agents; 7 Equine; 8 Recreational drugs - General; 9 Stimulants; 10 Hallucinogens; 11 Narcotics; 12 Forensics; 13 Alcohol; 14 Tobacco; 15 Homeland security; 16 Workplace; 17 Product authenticity; 18 Techniques. Within each section, articles are listed in alphabetical order with respect to author. If, in the preceding period, no publications are located relevant to any one of these headings, that section will be omitted. [source] Current Awareness in Drug Testing and AnalysisDRUG TESTING AND ANALYSIS, Issue 9-10 2009Article first published online: 22 DEC 200 In order to keep subscribers up-to-date with the latest developments in their field, John Wiley & Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of drug testing and analysis. Each bibliography is divided into 18 sections: 1 Reviews; 2 Sports doping - General; 3 Steroids; 4 Peptides; 5 Diuretics; 6 CNS agents; 7 Equine; 8 Recreational drugs - General; 9 Stimulants; 10 Hallucinogens; 11 Narcotics; 12 Forensics; 13 Alcohol; 14 Tobacco; 15 Homeland security; 16 Workplace; 17 Product authenticity; 18 Techniques. Within each section, articles are listed in alphabetical order with respect to author. If, in the preceding period, no publications are located relevant to any one of these headings, that section will be omitted. [source] Current Awareness in Drug Testing and AnalysisDRUG TESTING AND ANALYSIS, Issue 6 2009Article first published online: 7 OCT 200 In order to keep subscribers up-to-date with the latest developments in their field, John Wiley & Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of drug testing and analysis. Each bibliography is divided into 18 sections: 1 Reviews; 2 Sports doping - General; 3 Steroids; 4 Peptides; 5 Diuretics; 6 CNS agents; 7 Equine; 8 Recreational drugs - General; 9 Stimulants; 10 Hallucinogens; 11 Narcotics; 12 Forensics; 13 Alcohol; 14 Tobacco; 15 Homeland security; 16 Workplace; 17 Product authenticity; 18 Techniques. Within each section, articles are listed in alphabetical order with respect to author. If, in the preceding period, no publications are located relevant to any one of these headings, that section will be omitted. [source] Reduced nicotine content cigarettes: effects on toxicant exposure, dependence and cessationADDICTION, Issue 2 2010Dorothy K. Hatsukami ABSTRACT Aims To examine the effects of reduced nicotine cigarettes on smoking behavior, toxicant exposure, dependence and abstinence. Design Randomized, parallel arm, semi-blinded study. Setting University of Minnesota Tobacco Use Research Center. Interventions Six weeks of: (i) 0.05 mg nicotine yield cigarettes; (ii) 0.3 mg nicotine yield cigarettes; or (iii) 4 mg nicotine lozenge; 6 weeks of follow-up. Measurements Compensatory smoking behavior, biomarkers of exposure, tobacco dependence, tobacco withdrawal and abstinence rate. Findings Unlike the 0.3 mg cigarettes, 0.05 mg cigarettes were not associated with compensatory smoking behaviors. Furthermore, the 0.05 mg cigarettes and nicotine lozenge were associated with reduced carcinogen exposure, nicotine dependence and product withdrawal scores. The 0.05 mg cigarette was associated with greater relief of withdrawal from usual brand cigarettes than the nicotine lozenge. The 0.05 mg cigarette led to a significantly higher rate of cessation than the 0.3 mg cigarette and a similar rate as nicotine lozenge. Conclusion The 0.05 mg nicotine yield cigarettes may be a tobacco product that can facilitate cessation; however, future research is clearly needed to support these preliminary findings. [source] Association of tobacco dependence and quit attempt duration with Rasch-modeled withdrawal sensitivity using retrospective measuresADDICTION, Issue 6 2009Harold S. Javitz ABSTRACT Aim To examine whether Rasch modeling would yield a unidimensional withdrawal sensitivity measure correlating with factors associated with successful smoking cessation. Design The psychometric Rasch modeling approach was applied to estimate an underlying latent construct (withdrawal sensitivity) in retrospective responses from 1644 smokers who reported quitting for 3 or more months at least once. Setting Web-based, passcode-controlled self-administered computerized questionnaire. Participants Randomly selected convenience sample of 1644 adult members of an e-mail invitation-only web panel drawn from consumer databases. Measurements Lifetime Tobacco Use Questionnaire, assessing tobacco use across the life-span, including demographics and respondent ratings of the severity of withdrawal symptoms experienced in respondents' first and most recent quit attempts lasting 3 or more months. Findings Rasch-modeled withdrawal sensitivity was generally unidimensional and was associated with longer periods of smoking cessation. One latent variable accounted for 74% of the variability in symptom scores. Rasch modeling with a single latent factor fitted withdrawal symptoms well, except for increased appetite, for which the fit was marginal. Demographic variables of education, gender and ethnicity were not related to changes in sensitivity. Correlates of greater withdrawal sensitivity in cessation attempts of at least 3 months included younger age at first quit attempt and indicators of tobacco dependence. Conclusion The relationship between tobacco dependence symptoms and Rasch-model withdrawal sensitivity defines further the relationship between sensitivity and dependence. The findings demonstrate the utility of modeling to create an individual-specific sensitivity measure as a tool for exploring the relationships among sensitivity, dependence and cessation. [source] Tobacco,the once and future addictionADDICTION, Issue 10 2001Stephen J. Heishman First page of article [source] Limited ability of Palestine Sunbirds Nectarinia osea to cope with pyridine alkaloids in nectar of Tree Tobacco Nicotiana glaucaFUNCTIONAL ECOLOGY, Issue 6 2004H. TADMOR-MELAMED Summary 1Secondary compounds are common in floral nectar but their relative effects on nectar consumption and utilization in nectarivorous birds are unclear. 2We studied the effect of two pyridine alkaloids, nicotine and anabasine, present in Tree Tobacco (Nicotiana glauca) nectar, on food consumption, gut transit time and sugar assimilation efficiency of the Palestine Sunbird (Nectarinia osea), a pollinator of N. glauca in east Mediterranean ecosystems. 3Sunbirds demonstrated dose-dependent deterrence; they were not deterred by the lowest natural concentrations of these alkaloids in nectar (0·1 ppm nicotine and 0·6 ppm anabasine) but they were significantly deterred by the average concentrations detected in nectar (0·5 ppm nicotine and 5 ppm anabasine). 4The two pyridine alkaloids reduced gut transit time (by 30,42%) and sugar assimilation efficiency (by 9,17%) compared with the control alkaloid-free diet. 5Sunbirds are able to cope with low, but not average, concentrations of nicotine and anabasine in N. glauca nectar. If sunbirds are efficient pollinators of N. glauca they may induce selection on it to reduce pyridine alkaloid production in the nectar. Alternatively, high concentrations in some N. glauca plants may lead the birds to visit more plants with lower alkaloid concentrations. Hence, they will be more efficient pollinators, especially if other nectar-producing plants are scarce. [source] Esophageal cancer in Central and Eastern Europe: Tobacco and alcoholINTERNATIONAL JOURNAL OF CANCER, Issue 7 2007Mia Hashibe Abstract Esophageal cancer mortality rates in Central and Eastern Europe have been increasing steadily and are expected to increase further in the future. To evaluate the role of risk factors for esophageal cancer in this population, a multicenter study was conducted, with investigation of tobacco and alcohol as one of the principal aims. We have included 192 squamous cell carcinoma (SCC) and 35 adenocarcinoma cases of the esophagus diagnosed at designated hospitals in 5 centers from Romania, Russia, the Czech Republic and Poland. Controls were frequency matched from patients in the same hospital as the cases (n = 1,114). Our results showed that the risk of esophageal SCC may be increased by approximately 7-fold for current smokers (OR = 7.41, 95% CI 3.98,13.79) and by 3-fold for ever alcohol drinkers (OR = 2.86, 95% CI 1.06,7.74). Dose-response relations were evident for both the frequency and duration of tobacco and of alcohol on the risk of esophageal SCC. Risk estimates for tobacco smoking were highest for lower esophageal SCCs, while risk estimates for alcohol drinking were highest for upper esophageal SCCs; though differences were not statistically significant. For adenocarcinoma of the esophagus, our results suggested a more modest increase in risk because of tobacco smoking than that for SCC of the esophagus and no association with alcohol consumption, although our sample size was small. A synergistic interaction between tobacco and alcohol was observed for the risk of esophageal SCC, highlighting the importance of both factors for esophageal cancers in Central and Eastern Europe. © 2006 Wiley-Liss, Inc. [source] Tobacco: the most important preventable cause of cardiovascular diseaseINTERNATIONAL JOURNAL OF CLINICAL PRACTICE, Issue 3 2010G. Jackson Editor No abstract is available for this article. [source] The Reliability and Validity of Birth CertificatesJOURNAL OF OBSTETRIC, GYNECOLOGIC & NEONATAL NURSING, Issue 1 2006Sally Northam Objectives:, To summarize the reliability and validity of birth certificate variables and encourage nurses to spearhead data improvement. Data sources:, A Medline key word search of reliability and validity of birth certificate, and a reference review of more than 60 articles were done. Study selection:, Twenty-four primary research studies of U.S. birth certificates that involved validity or reliability assessment. Data extraction:, Studies were reviewed, critiqued, and organized as either a reliability or a validity study and then grouped by birth certificate variable. Data synthesis:, The reliability and validity of birth certificate data vary considerably by item. Insurance, birthweight, Apgar score, and delivery method are more reliable than prenatal visits, care, and maternal complications. Tobacco and alcohol use, obstetric procedures, and delivery events are unreliable. Birth certificates are not valid sources of information on tobacco and alcohol use, prenatal care, maternal risk, pregnancy complications, labor, and delivery. Conclusions:, Birth certificates are a key data source for identifying causes of increasing U.S. infant mortality but have serious reliability and validity problems. Nurses are with mothers and infants at birth, so they are in a unique position to improve data quality and spread the word about the importance of reliable and valid data. Recommendations to improve data are presented. JOGNN, 35, 3-12; 2006. DOI: 10.1111/J.1552-6909.2006.00016.x [source] Alternaria alternata AT Toxin Induces Programmed Cell Death in TobaccoJOURNAL OF PHYTOPATHOLOGY, Issue 10 2009Elena T. Yakimova Abstract Detached tobacco leaves were infiltrated with an AT toxin preparation from the foliar pathogen Alternaria alternata tobacco pathotype. The AT toxin preparation caused formation of necrotic lesions within 5 days post-infiltration in a concentration-dependent manner. Cell death was accompanied by increased levels of the stress metabolites hydrogen peroxide, malondialdehyde, free proline and by enhanced total protease activity. Lesion development and the production of stress metabolites were suppressed if the infiltration site was pre-infiltrated with caspase-specific peptide inhibitors (irreversible caspase-1 inhibitor acyl-Tyr-Val-Ala-Asp-chloromethylketone (Ac-YVAD-CMK) and the broad range caspase inhibitor benzyoxycarbonyl-Asp-2,6-dichlorobenzoyloxymethylketone (Z-Asp-CH2-DCB)), the serine protease inhibitor N,-p-tosyl- l -lysine chloromethylketone and the polyamine spermine. Extensive accumulation of reactive oxygen species (ROS), as determined by staining with 3-3,-diaminobenzidine and 2,,7,-dichlorofluorescein diacetate, was found in the AT toxin-challenged lesions. The data show that AT toxin-induced cell death in tobacco is a type of programmed cell death in which caspase-like proteases and ROS signalling play a prominent role. [source] RAPD PCR for Diagnosis of Phytophthora parasitica var. nicotianae Isolates which Cause Black Shank on TobaccoJOURNAL OF PHYTOPATHOLOGY, Issue 10 2001X. G. Zhang Phytophthora parasitica var. nicotianae is the fungal pathotype of tobacco black shank (TBS, Disease severity , 2.0). Random amplified polymorphic DNA (RAPD) analysis was used to differentiate isolates which cause TBS from those which do not. Greenhouse assays combined with zoospore inoculation were performed to assess the virulence of the fungal isolates, and the results were compared with the RAPD pattern analysis. The RAPD results exhibited total correlation with the virulence assay results. Amplification patterns generated by RAPD reactions were used to generate a phenogram depicting the genetically distinct nature of the cluster defined by the TBS isolates. This cluster was exclusive and distinct from P. parasitica var. nicotianae isolates which do not cause TBS. Thus, RAPD proved to be a sensitive and highly reliable method for quickly identifying fungal pathotypes which cause TBS. [source] Coverage of Adolescent Substance Use Prevention in State Frameworks for Health EducationJOURNAL OF SCHOOL HEALTH, Issue 9 2001David Wyrick MPH ABSTRACT: Ten secondary health education state curriculum frameworks were reviewed for their inclusion of 12 mediators commonly used to prevent adolescent substance use. Specific aims of the investigation were: a) to identify the extent to which the 12 mediators were found in each framework; and b) to identify those frameworks that included Alcohol, Tobacco, and Other Drugs (ATOD) sections and determine to what extent the 12 mediators were found in those sections. A panel of three researchers independently reviewed each framework. Beliefs about consequences, decision-making skills, and stress management skills were identified most often while commitment, lifestyle incongruence, and normative beliefs were identified least often. Among states that included ATOD sections, beliefs about consequences and resistance skills were the most commonly identified mediators. Commitment, goal setting, and normative beliefs were not identified in any ATOD sections. Research in prevention and implications for health education are discussed. [source] Overview,Alcohol and Tobacco: Mechanisms and TreatmentALCOHOLISM, Issue 12 2002Joanne B. Fertig No abstract is available for this article. [source] Animal Models as a Tool for Studying Mechanisms of Co-Abuse of Alcohol and TobaccoALCOHOLISM, Issue 12 2002Seth A. Balogh First page of article [source] Carolina in the Carolines: A Survey of Patterns and Meanings of Smoking on a Micronesian IslandMEDICAL ANTHROPOLOGY QUARTERLY, Issue 4 2005Mac Marshall Tobacco use---especially smoking industrially manufactured cigarettes---kills nearly 5 million people annually and is the leading preventable cause of death worldwide. Tobacco is a widely used global commodity embedded in cultural meanings, and its consumption involves a set of learned, patterned social behaviors. Seemingly, then, tobacco offers a most appealing anthropological research topic, yet its study has been relatively ignored by medical anthropologists when compared to research on alcoholic beverages and illegal drugs. To help fill this gap, this article sketches the historical background of tobacco in Micronesia, presents the results of a cross-sectional smoking survey from Namoluk Atoll, and describes contemporary smoking patterns and locally understood symbolic associations of tobacco. Intersections among history, gender, local meanings, the health transition, and the transnational marketing of tobacco are addressed, and cigarette smoking is seen as part of a new syndemic of chronic diseases in Micronesia. [source] The Moral Economy of TobaccoAMERICAN ANTHROPOLOGIST, Issue 4 2009David Griffith ABSTRACT Even faced with overwhelming evidence that tobacco threatens human health, along with economic developments undermining their status as independent producers, North Carolina tobacco farmers view tobacco production in ways congruent with a moral economy. A shift from independent to contract production of tobacco and the dismantling of government price supports have challenged this moral economy, converting tobacco producers into a quasi,working class dependent on tobacco companies while leading to fewer tobacco farms and an increase in the average tobacco farm's size. These changes signal a shift away from a moral economy of tobacco, although moral-economic dimensions remain. Producers today emphasize different moral dimensions of economic behavior, such as producing quality human beings, than during earlier eras, when moral-economic actors pressed for state intervention in economic crises. Moral-economic principles are not restricted to either non-Western or historical peoples but, rather, influence economic production and ideology in advanced capitalist settings today. [source] Density-Induced Plant Size Reduction and Size Inequalities in Ethylene-Sensing and Ethylene-Insensitive TobaccoPLANT BIOLOGY, Issue 2 2004R. Pierik Abstract: Plant competition for light is a commonly occurring phenomenon in natural and agricultural vegetations. It is typically size-asymmetric, meaning that slightly larger individuals receive a disproportionate share of the light, leaving a limited amount of light for the initially smaller individuals. As a result, size inequalities of such stands increase with competition intensity. A plant's ability to respond morphologically to the presence of neighbour plants with enhanced shoot elongation, the so-called shade avoidance response, acts against the development of size inequalities. This has been shown experimentally with transgenic plants that cannot sense neighbours and, therefore, show no shade avoidance responses. Stands of such transgenic plants showed a much stronger development of size inequalities at high plant densities than did wild type (WT) stands. However, the transgenic plants used in these experiments displayed severely hampered growth rates and virtually no response to neighbours. In order to more precisely study the impact of this phenotypic plasticity on size inequality development, experiments required plants that have normal growth rates and reduced, but not absent, shade avoidance responses. We made use of an ethylene-insensitive, transgenic tobacco genotype (Tetr) that has wild type growth rates and moderately reduced shade avoidance responses to neighbours. Here, we show that the development of size inequalities in monocultures of these plants is not affected unambiguously different from wild type monocultures. Plots of Tetr plants developed higher inequalities for stem length than did WT, but monocultures of the two genotypes had identical CV (Coefficient of Variance) values for shoot biomass that increased with plant density. Therefore, even though reduced shade avoidance capacities led to the expected higher size inequalities for stem length, this does not necessarily lead to increased size inequalities for shoot biomass. [source] A Study of the Interaction between Auxin and Ethylene in Wild Type and Transgenic Ethylene-Insensitive Tobacco during Adventitious Root Formation Induced by Stagnant Root Zone ConditionsPLANT BIOLOGY, Issue 5 2003M. P. McDonald Abstract: Wild type (Wt) and transgenic plants (etr1-1 gene from Arabidopsis thaliana; encoding for a defective ethylene receptor; Tetr) of Nicotiana tabacum L. were subjected to experiments to resolve the role of the interaction between ethylene and auxin in waterlogging-induced adventitious root formation. Plants were grown in aerated or stagnant deoxygenated nutrient solution and treated with the following plant growth regulators: ethylene, the synthetic auxins 2,4-dichlorophenoxyacetic acid (2,4-D) and 1-naphthaleneacetic acid (1-NAA), and the auxin efflux inhibitor naphthylphthalamic acid (NPA). The superior growth of Wt in stagnant solution suggests that the ability to sense and respond to ethylene partially mediates tolerance to stagnant root zone conditions. Wt produced around 2 - 2.5-fold more adventitious roots than Tetr in aerated and stagnant solution. Treatment with NPA phenocopied the effects of ethylene insensitivity by reducing the number of adventitious roots on Wt to Tetr levels. Additionally, application of 1-NAA to the shoot of Tetr increased the number of adventitious roots on Tetr to similar levels as the untreated Wt. However, this level was only around half the number achieved by 1-NAA-treated Wt. The results suggest an interplay between ethylene and auxin in the process of adventitious root formation in waterlogged tobacco, most likely on the level of polar auxin transport. However, a separate non-auxin-related role as a transcription regulator for genes essential to adventitious root formation cannot be excluded. [source] Arab American Adolescent Perceptions and Experiences with SmokingPUBLIC HEALTH NURSING, Issue 3 2003Anahid Kulwicki R.N., D.N.S. Abstract The purpose of this pilot study was to gather information on Arab American adolescent tobacco use behavior. This information was used to modify the Project Toward No Tobacco Use cessation program so that it would reflect the cultural values of Arab American youths. Focus group interviews were conducted to collect qualitative data from 28 Arab American adolescents between the ages of 14 and 18 years. The number of participants in the focus groups ranged from three to eight; four sessions were conducted. A moderator, fluent in Arabic and English, facilitated the group's interactions. Each group addressed five interview questions. Discussions were audiotaped and transcribed with the expressed permission of study participants. Qualitative analysis consisted of careful reading of the transcripts and of the field notes for the purpose of identifying recurring themes around tobacco use. Those that emerged were Being Cool; Being able to "Nshar ma'a al shabab" (hang out with the guys); Present Orientation; Smoking feels good, tastes good, and keeps your mind off trouble; Availability and Accessibility of tobacco; and Barriers to Smoking Cessation Programs. The results of the focus group discussions provided valuable information about the tobacco use perceptions and behaviors of Arab American adolescents and the youths' need for a culturally relevant smoking cessation program. [source] Cessation in the use of tobacco , pharmacologic and non-pharmacologic routines in patientsTHE CLINICAL RESPIRATORY JOURNAL, Issue 1 2008Petter Quist-Paulsen Abstract Introduction:, Approximately one-third of the adult population in industrial countries and 70% in several Asian countries are daily smokers. Tobacco is now regarded as the world's leading cause of death. Approximately two-thirds of lifelong smokers eventually die because of smoking. Smoking cessation is the most effective action to reduce mortality in patients with chronic obstructive pulmonary disease (COPD) and coronary heart disease. Objective:, The aim of this study was to determine the effectiveness of smoking cessation programmes in patients with smoking-related disorders. Methods:, Medline was searched for studies of interventions for smoking cessation in patients. Results:, In patients with cardiovascular diseases and COPD, smoking cessation programmes with behavioural support over several months significantly increase quit rates. The intensity of the programmes seems to be proportional to the effect. A long follow-up period is probably the most important element in the programmes. Even the most intensive programmes are very cost-effective in terms of cost per life-year gained. Effective programmes can be delivered by personnel without special education in smoking cessation using simple intervention principles. Conclusions:, In patients with smoking-related disorders, smoking cessation interventions with several months of follow-up are effective and easily applicable in clinical practice. Wider implementation of such programmes would be a cost-effective way of saving lives. Please cite this paper as: Quist-Paulsen P. Cessation in the use of tobacco , pharmacologic and non-pharmacologic routines in patients. The Clinical Respiratory Journal 2008; 2: 4,10. [source] Comprehensive evaluation of an online tobacco control continuing education course in CanadaTHE JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS, Issue 4 2008Kirsten E. Sears MHSc Abstract Introduction: To respond to the increasing need to build capacity for planning, implementing, and supporting tobacco control strategies, an evidence-based, online continuing education (CE) course aimed at Canadian public health professionals was developed. The purpose of this study was to comprehensively evaluate the course, Tobacco and Public Health: From Theory to Practice (http://tobaccocourse.otru.org). Methods: Rossett and McDonald's revision of Kirkpatrick's four-level evaluation model for training programs guided the evaluation design. A pre-, post-, and follow-up single group design assessed immediate reactions to course modules, knowledge change and retention, practice change, and overall perceived value of the course. Six external peer reviewers evaluated course module content. Results: Fifty-nine participants completed all three course modules and the final online questionnaire at time 3, representing a response rate of 78%. Significant knowledge gains occurred between times 1 and 2 (p < 0.001). Although time 3 scores remained higher than time 1 scores for each module (p < 0.001), they decreased significantly between times 2 and 3 (p < 0.001). The majority of participants (93%) felt the topics covered were useful to their daily work. All but one participant felt the course was a good investment of their time, and nearly all participants (97%) stated they would recommend the course to others. Peer reviewers found that module content flowed well and was comprehensive. Discussion: This comprehensive evaluation was valuable both for assessing whether course goals were achieved and for identifying areas for course improvement. We expect this design would be a useful model to evaluate other online continuing education courses. [source] Regulating Tobacco: The Need for a Public Health Judicial Decision-Making CanonTHE JOURNAL OF LAW, MEDICINE & ETHICS, Issue 2 2002Richard A. Daynard First page of article [source] Cultural Perspectives Concerning Adolescent Use of Tobacco and Alcohol in the Appalachian Mountain RegionTHE JOURNAL OF RURAL HEALTH, Issue 1 2008Michael G. Meyer MA ABSTRACT:,Context:Appalachia has high rates of tobacco use and related health problems, and despite significant impediments to alcohol use, alcohol abuse is common. Adolescents are exposed to sophisticated tobacco and alcohol advertising. Prevention messages, therefore, should reflect research concerning culturally influenced attitudes toward tobacco and alcohol use. Methods: With 4 grants from the National Institutes of Health, 34 focus groups occurred between 1999 and 2003 in 17 rural Appalachian jurisdictions in 7 states. These jurisdictions ranged between 4 and 8 on the Rural-Urban Continuum Codes of the Economic Research Service of the US Department of Agriculture. Of the focus groups, 25 sought the perspectives of women in Appalachia, and 9, opinions of adolescents. Findings: The family represented the key context where residents of Appalachia learn about tobacco and alcohol use. Experimentation with tobacco and alcohol frequently commenced by early adolescence and initially occurred in the context of the family home. Reasons to abstain from tobacco and alcohol included a variety of reasons related to family circumstances. Adults generally displayed a greater degree of tolerance for adolescent alcohol use than tobacco use. Tobacco growing represents an economic mainstay in many communities, a fact that contributes to the acceptance of its use, and many coal miners use smokeless tobacco since they cannot light up in the mines. The production and distribution of homemade alcohol was not a significant issue in alcohol use in the mountains even though it appeared not to have entirely disappeared. Conclusions: Though cultural factors support tobacco and alcohol use in Appalachia, risk awareness is common. Messages tailored to cultural themes may decrease prevalence. [source] Alcohol, Tobacco, and Other Drugs: Future Directions for Screening and Intervention in the Emergency DepartmentACADEMIC EMERGENCY MEDICINE, Issue 11 2009Rebecca M. Cunningham MD Abstract This article is a product of a breakout session on injury prevention from the 2009 Academic Emergency Medicine consensus conference on "Public Health in the ED: Screening, Surveillance, and Intervention." The emergency department (ED) is an important entry portal into the medical care system. Given the epidemiology of substance use among ED patients, the delivery of effective brief interventions (BIs) for alcohol, drug, and tobacco use in the ED has the potential to have a large public health impact. To date, the results of randomized controlled trials of interventional studies in the ED setting for substance use have been mixed in regard to alcohol and understudied in the area of tobacco and other drugs. As a result, there are more questions remaining than answered. The work group developed the following research recommendations that are essential for the field of screening and BI for alcohol, tobacco, and other drugs in the ED. 1) Screening,develop and validate brief and practical screening instruments for ED patients and determine the optimal method for the administration of screening instruments. 2) Key components and delivery methods for intervention,conduct research on the effectiveness of screening, brief intervention, and referral to treatment (SBIRT) in the ED on outcomes (e.g., consumption, associated risk behaviors, and medical psychosocial consequences) including minimum dose needed, key components, optimal delivery method, interventions focused on multiple risk behaviors and tailored based on assessment, and strategies for addressing polysubstance use. 3) Effectiveness among patient subgroups,conduct research to determine which patients are most likely to benefit from a BI for substance use, including research on moderators and mediators of intervention effectiveness, and examine special populations using culturally and developmentally appropriate interventions. 4) Referral strategies,a) promote prospective effectiveness trials to test best strategies to facilitate referrals and access from the ED to preventive services, community resources, and substance abuse and mental health treatment; b) examine impact of available community services; c) examine the role of stigma of referral and follow-up; and d) examine alternatives to specialized treatment referral. 5) Translation,conduct translational and cost-effectiveness research of proven efficacious interventions, with attention to fidelity, to move ED SBIRT from research to practice. [source] Smoke and Mirrors: Inverting the Discourse on TobaccoANTIPODE, Issue 4 2010Marv Waterstone Abstract:, Understanding the mechanisms that construct and maintain the taken-for-granted, "common sense" understandings of everyday life is an essential prerequisite for reconfiguring conditions in more progressive directions. Highlighting particular moments, when these processes can be made visible, and drawing appropriate insights from such interrogations is useful not only for illuminating the fundamental malleability of "common sense" (itself a crucial element of change), but also for providing suggestive strategies and tactics for effectuating change. Here the construction and reconstruction of the "common sense" around tobacco is offered as an instructive case. [source] | ||||||||||||||||||||||||||||